Organization Active NPI

Jerry F Gurkoff, D. O. P.a.

  • Orthopaedic Surgery Physician
  • Grand Prairie, TX
National Provider Identifier
1104096999
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
JERRY F GURKOFF, D. O. P.A.
Practice address
2801 Osler Dr Ste 222
Grand Prairie, TX 75051-1060
Phone
(972) 641-2661
Fax
(972) 647-0639
NPI assigned
Mar 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jerry F Gurkoff, D.O.
Title
Owner
Phone
(972) 641-2661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

2801 Osler Dr Ste 222
Grand Prairie, TX 75051-1060

Mailing address

2801 Osler Dr Ste 222
Grand Prairie, TX 75051-1060
Phone (972) 641-2661

Other identifiers 1

IdentifierTypeStateIssuer
00RU26OtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

2801 Osler Dr
Ste 222
Grand Prairie, TX 75051
Phone (214) 641-2661

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1104096999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 OSLER DR STE 222",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750511060",
            "telephone_number": "972-641-2661",
            "fax_number": "972-647-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 OSLER DR STE 222",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750511060",
            "telephone_number": "972-641-2661",
            "fax_number": "972-647-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY F GURKOFF, D. O. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "GURKOFF",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-641-2661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00RU26",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.